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This popular and practical text presents all the information clinicians need to use the EKG in everyday practice and interpret hypertrophy and enlargement, arrhythmias, conduction blocks, pre-excitation syndromes, and myocardial infarction. It is an ideal reference for medical students in ICM courses, house officers, or anyone directly involved in patient care, whether student, teacher, or practitioner.
The book features more than 200 facsimiles of EKG strips and numerous case studies and clinical examples. This Fifth Edition includes updated information on pacemakers and myocardial infarction treatment and more practice EKGs.
Data sheet
Getting Started
THE BASICS
Electricity and the Heart
Time and Voltage
P Waves, QRS Complexes, T Waves, and Some Straight Lines
Naming the Straight Lines
Summary:: The Waves and Straight Lines of the EKG
Making Waves
The 12 Views of the Heart
A Word About Vectors
The Normal 12-Lead EKG
Summary:: Orientation of the Waves of the Normal EKG
Coming Attractions
HYPERTROPHY AND ENLARGEMENT OF THE HEART
Definitions
Axis
Summary:: Axis
Axis Deviation, Hypertrophy, and Enlargement
Atrial Enlargement
Summary:: Atrial Enlargement
Ventricular Hypertrophy
Secondary Repolarization Abnormalities of Ventricular Hypertrophy
Summary:: Ventricular Hypertrophy
Case 1
Case 2
ARRHYTHMIAS
The Clinical Manifestations of Arrhythmias
Why Arrhythmias Happen
Rhythm Strips
How to Determine the Heart Rate from the EKG
The Four Basic Types of Arrhythmias
Arrhythmias of Sinus Origin
Ectopic Rhythms
The Four Questions
Ectopic Supraventricular Arrhythmias
Summary:: Supraventricular Arrhythmias
Ectopic Ventricular Arrhythmias
Summary:: Ventricular Arrhythmias
Summary:: Rules of Malignancy for PVCs
Supraventricular Versus Ventricular Arrhythmias
Summary:: Ventricular Tachycardia (VT) Versus Paroxysmal Supraventricular Tachycardia (PSVT) with Aberrancy
Programmed Electrical Stimulation
Implantable Defibrillators
Case 3
Case 4
CONDUCTION BLOCKS
What Is a Conduction Block?
AV Blocks
Summary:: AV Block
Bundle Branch Block
Summary:: Bundle Branch Block
Hemiblocks
Summary:: Criteria for Hemiblock
Combining Bundle Branch Blocks and Hemiblocks
Summary:: Criteria for Bifascicular Block
The Ultimate in Playing With Blocks:: Combining AV Blocks, Bundle Branch Blocks, and Hemiblocks
Pacemakers
Case 5
PREEXCITATION SYNDROMES
What Is Preexcitation?
Wolff-Parkinson-White Syndrome
Lown-Ganong-Levine Syndrome
Associated Arrhythmias
Summary:: Preexcitation
Case 6
MYOCARDIAL ISCHEMIA AND INFARCTION
What Is a Myocardial Infarction?
How to Diagnose a Myocardial Infarction
Summary:: The EKG Changes of an Evolving Myocardial Infarction
Localizing the Infarct
Non-Q Wave Myocardial Infarctions
Angina
Summary:: The ST Segment in Cardiac Disease
Limitations of the EKG in Diagnosing an Infarction
Stress Testing
Case 7
FINISHING TOUCHES
Electrolyte Disturbances
Hypothermia
Drugs
Other Cardiac Disorders
Pulmonary Disorders
Central Nervous System Disease
The Athletes Heart
Summary:: Miscellaneous Conditions
Case 8
PUTTING IT ALL TOGETHER
The 11-Step Method for Reading EKGs
Review Charts
HOW DO YOU GET TO CARNEGIE HALL? PRACTICE, PRACTICE, PRACTICE!
Practice EKG Strips